Reproductive Health Clinical Trial
Official title:
MyFamilyPlan: A Patient-Centered Web-based Preconception Health Education Tool
Strong evidence supports that preconception care, or care to optimize a woman's health
health prior to pregnancy, can improve birth outcomes. Preconception health counseling
covers a broad range of topics, including: desire for pregnancy, obstetric history,
nutrition, vaccinations, sexual health, chronic disease, substance abuse, mental health and
contraception. Despite calls from public health organizations and experts in the field for
universal access to preconception care, most US women do not receive any health counseling
to prepare for pregnancy. Given that approximately half of US pregnancies are unintended, it
is critical that routine primary care serve as a venue for the provision of this important
service. From a patient's perspective, improving preconception health involves many health
behavior changes. As such, patient engagement and education regarding preconception health
must be a primary focus. Several preconception health promotion tools have been developed
for patients to date; few are truly patient-centered and even fewer have been rigorously
evaluated.
This study presents MyFamilyPlan - a novel, web-based, patient centered preconception health
education tool designed for women of reproductive age receiving primary care. MyFamilyPlan
is truly innovative in two key ways:
- MyFamilyPlan is a web-based preconception health self-assessment. This will allow for
the employment of skip logic to individualize the questionnaire and subsequent health
recommendations for each patient.
- Recognizing that preconception care is relevant to all women "at risk" of pregnancy,
MyFamilyPlan has been designed for utilization in a primary care setting.
This preconception health education tool will be tested using a randomized controlled
design. This study will measure whether or not exposure to MyFamilyPlan promotes the
discussion of preconception health issues in primary care encounters (primary outcome). It
will also evaluate whether the intervention affects participant self-efficacy in planning a
healthy pregnancy, and relevant health behaviors (secondary outcome). The study proposed
here will improve the quality of evidence for preconception health education tools. Should
it demonstrate effectiveness, it will also result in a new tool that could be made more
widely available to promote preconception health.
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